< �
<br /> � . '�: . , . � . .. _�_.. '"...i . . . � .. ...,.;t_.' � „ ': ' . . .. Y �� . � ��_ . �1',,,..
<br /> NOTICE OF DEED RESTRICTIONS: The u�dersigned,undergtands�;th�tFthis;�.p�rmif:may,be.,subJect:to::deed.,.restrictlons "_._ _,.._::_',.
<br /> which may�be-more.r.est�ictive�th��Countja�regulatlons.���The�'underslgned}�sssumeayresponsibiltty for comp0ance with`a'ny " `
<br /> appHcable deed'rest�ictions. - 3 � • . r , ,. , -: � � �
<br /> UNLICENSED CONTRACTORS .AND .CONTRACTOR .RESPONSIBILITIES: --If the-owner has°'•htred`-a�:contractor or
<br /> contractors to undertake work,-they may;be:,�equire.d:_to;be�licensed in;accordance.with;state�.and�local..regulatlons:�-.If�the�- � � � -
<br /> contractor-ts�not�Itcensed'as�requlred:�tiy laVvr,°both the owner and=cont�acto��may-be�cifed°for°a�misdemeanor violatlon
<br /> under state law. if the owner ar Intended,:contractvr;ere,;uncertaln as to what Ilcensing;;requirexnents.;mayfuapply���for�the��- �=� �•�'
<br /> . ;.�H�.,�.. �-...,.-F ,. .
<br /> Intended"wo'li, they a�e'�advised to contact�the.�Pasco County,•Bullding;lnsp,ectlon Dtvlslon--t.lcenstng Section at 727-847-
<br /> 8009. Fu�ttiermore, If the owner'�Fias�hired�a�con�ractor�o� contractors, he is advlsed to have �the contr,actor(s),,.sign ;,
<br /> portions ofthe:"contractor_.Block" of thls._application_,fo,r.which...ihey, will.be.r.esponsible:.If-you,-as-.#he owner�'§tgn'as'tlie � �
<br /> cont�actor, that tnay tie an Indication that`Fie"is`�iot properly`Ilcensed�and�is�not entitled to perniltting�privtleges in Pasco
<br /> County. .-�:-_. . . .
<br /> TRANSPORTATION-IMPACT/UTILITIES`�rMPAC7 ANb RE50U�tCE ItECOVERY�FEES:��The untleFsigned understands
<br /> thatTransportation Impact Fees and:Reco.uree Recove.ry.Fees m`ay�:apply�:�to�tF�e:'construction;of new�bulidings, change��of`}����=�`-'�'
<br /> use In existing buildings; oriexpar�sion�of��ezistin,g;�buildings, as specffied.ln Pascv�County Ordinance number 89-07 and.
<br /> 90-07, as amended.s;The undetsigned also:urtderstands, tFiat:�such fees�;as�tnay�;�e�..due;�.wlll:�be tdenfified at the':time➢�of��"• �="' '�
<br /> permitting. It is furtFier understood that Traiisportation Impact�Fees and"Resource:Reco�eryi Fees..must�be pald prior to
<br /> recetving-a'cerffflcate.of-occupancy" orflnal��power�.release: :If�the.project�..does;not Involve�:a>.certfflca,te of occupancy-o����`���-- '�'��
<br /> flnal power-:�elease;�;the=fees�mu�t�be�paid-�,prior to%permit Issuance. Ft��thermore;�if:PascotCounty�WaterlSewer.:�impact .,. - �
<br /> fees are due;.they�.must:be;paid,=,prlot�o,.permit-lssujance�In.accordance.witfi��appllcable;Pasco�,Gounty�ortlinances. •
<br /> COtdSTRUCTION'LIEN'�LAW'(Cliapte�713� Flortda Statutes,as amended): If valuatlon of work Is$2,500.00-or more�:l�- � ,.
<br /> cerlify that I, #he.�applicant;_-have:been .provided��with�=a=copy- of`the:"Flortda� Constructton�Lien :Law►—Homeowner's
<br /> Protection Gutde" prepared by ttie'�Floi�da Deparfine�C of Agric.ulture and Consumer:Affairs. If the appl(cant Is someone- .. �� , ,.
<br /> other than th�"owner", I certifjt.that„I h�ve.ob.tained�a�copy.of:the:above.rJes,cribed�locu�ent-and.promise�in,good,:failh�to ,..
<br /> delive�It to 4he'ownec"'p�ior�to�commencement:' � � - ` � " � - � , ---
<br /> CONTRACTOR'S/OWNER'3 AFFIDAVIT: I.certify:�,that�,all�the,Jnformation>:In this applicatlon is accurate.and that all work
<br /> will'be done in compltance w(th ail applicable`laws regulating construction� zoning and_land development. Application is
<br /> hereby made to obtain .a .pecmit.�to;_do._work;..and�installatlon as indi�afed:�-.:I, certffy that no work°or Instailatton fias
<br /> commenced prior to Issuance of`a perm(t"and that°.all work will be pertormed�to meet.standards-of ali laws regula�ing-
<br /> construction, County and City codes, zoning regulations, and land development regulation"s=tn the jur(sdiction.`- (.also
<br /> certify that I understand that�the regulations of other government agencies may�apply�to the intended work, and that it is
<br /> my responsibility to identify.what,acdons I must take:to be..tn:.compllance:.rv.Such:agenctes-lnclude but�are.not Ifm(ted to: � -
<br /> , . ,.,.
<br /> - Departmen! of E�vironmental>'Protection=Cypress.�Bayhead�� Wetland Areas and Environmentally Sensittve
<br /> Lands,Water/Wastewater Treatment.
<br /> - Southwest Florida Water Management: :I�istrict-Welis; 'Cypress.��Bayheads; Wetland Areas, Altering
<br /> Watercourses. - - , , �
<br /> - Army Corps of Englneers-Seawalls,'Docks, Navigable Waterways.
<br /> - Department.of.,_Health:.8.;ReMabllitative,.Secvices/Environmenfal.�,Heaith Unit Wells, Wastewater-Treatment,
<br /> Septic'Tanks:.�. .. � � • -_ :
<br /> - US Environmental Protectlon Agency-Asbestos abatement..:- .
<br /> Federal�Aviation_Authority=Runways: - `- - �
<br /> -I understand that the following."restrictions apply to the use of flll:� -
<br /> - Use of flll is not allowed In,Flood,;Zone"V"unless expressly pe�nitted,.
<br /> - If'the-:fllf mate"rial"-is 'to`b.e used:`in :Flood �Zone. "A", �It. is understood �that a drainage plan addresstng a
<br /> °compensating volume" will be submitted at#ime of.permifting which ts prepared by a professfonal engineer �
<br /> Iicensed by�he State of:Florida: ���. �= : � _- ._
<br /> - If ih� flll�material is to be used in Flood Zone 'A" in�connectlon�with�a��permltted�building using stem wall
<br /> � constn►ction, I certiry that flil�:will:be�used only.to.fill the.area wlthin the�stem�wall: -� q �
<br /> - � If flll 'material is #o be used in any a�ea; 1 cenify that .use of:such flll wiil not adversely affect adJacent
<br /> properties. If use of fill is found to advetsely:�ffect adJaeent=_pcope�ties�.the ouvne� may be clted for violating '
<br /> the�condl�ions_of the build(ng'.permit issued�under the._attacfied,permit appllcation,�.for-lots�less:.than�=one (1)
<br /> acre whicFi are elevated�6y flit; act engineered drainage plan Is requlred. .
<br /> If I am the_AGENT FOR TNE OWNER, I;promise in good_faith to inform�the�owner of�the perrriitting conditlons set forth in
<br /> this affidavtt�prior"to commer�cing construction. I undersfand thafia=separate permlt may be requtred for electrical work.
<br /> plumbing, signs, weUs, pools;. alr conditioning,.gas,�.or otMe� Install�tfons nol.speclflaally included-tn.the application. .A ,
<br /> permit issued shall be const�ued to b`e�a`1lcense'-to��p�oceed with'tFte�work and�not�as:authority::to:violate;'cancel, alter, or
<br /> set aside any provistons ofthe teohnical.codes;�nor shall issuance�of a.permlt.prevent the Bulldtrig Official from thereafter �
<br /> requir(ng a,correction nf.enors in•plans; constructlon or vlolations of-any codes: Every�permit issued"siielf tiecome invalid
<br /> unless the work autho�ized by such permit:�ts-commenced•withln sGc months of�permit Issuance, or if work authorized by
<br /> the permit Is suspended-or-;abandoned:#or:a:period of�six:�)�montfis.:after the time the�work�s commenced. An extension
<br /> may be requested�„In writ(ng;-from tHe�Building,Official�for� period�not to-exceed�ninety-(90)�days a�d=will demonstrate
<br /> justi�able cause tor.�the extension�. If work ceases.for ninety•(90)cons.ecutive�day.s�..the job;is.considered aba�doned.
<br /> , . • .. . . _
<br /> WARNING TO OWNER: YOUR:FAILIJRE��TtJ..R�EC.OltQ.A.NOTIGE�OF.�COMMENCEMEI�T:.MAY�RESULT IN�-YOUR
<br /> PAYING TWICE;FOR�IMPROVEMEN.�'S;Tfl:XOUR:.PROPER�IY.;I�°YO.t1;IN�END�TO-�BTAIN��FiNA1�E1i�IG;�ONSULT
<br /> WITH YOUR LENDER OR AN�1TTORNEY�B�FO'REiRE�OR�IIMG�VAU�'�Id�TI��O��COMl�JEld�E�l�NJT' " � -
<br /> , . .., . ., . _ .
<br /> FLORIDA JURA��(F.S:1.17.03} _ � ' '� ' - � -
<br /> OWNER OR AGEN7. CONTRACTOR �� � � �
<br /> Subscribed and swom to(or aiflrmed)before me this Subscribed and'swom�to(of aflirmed)�before me ffil�
<br /> bY — -— - ..bY.., .
<br /> Who Isfare pa�sonally known M.me or haslhave.produced Who.ls/are p.ersonally�Cnown�to me:or Has/haveproduced
<br /> � as Identlflcatlon. � as Identlfica0on. •
<br /> Notery Pubiic . Notary Publlc
<br /> Commisslon No: Commlaslon No.
<br /> Name o(Nofary typed,printed or stamped Name of Notary t�rped,pdnted or atamped
<br />
|